UNASSIGNED: A 10-year retrospective study of 148 children (270 eyes), aged 9 to 159 months (mean age: 29.6 ± 17.7 months), who previously had not undergone a nasolacrimal surgical procedure and who presented with clinical signs of nasolacrimal duct obstruction, was conducted. All children underwent balloon catheter dilation of the nasolacrimal duct.
UNASSIGNED: Treatment success, defined as complete resolution of nasolacrimal duct obstruction symptoms present at follow-up visits at 1 week and up to 6 months after surgery, was 87% (234 of 270 eyes). Partial success was defined as occasional tearing which was acceptable to parents and present in 3% (nine eyes). Only 10% of the children underwent a second procedure due to complete failure. In a sub-analysis by age groups-under 18 months, between 18 and 36 months, and above 36 months-complete resolution rates were 85%, 93%, and 77%, and partial success rates were 3%, 3%, and 4%, respectively. There was a statistically significant difference between the age groups (p = .007).
UNASSIGNED: In this large cohort of patients with nasolacrimal duct obstruction, balloon catheter dilation was successful as a primary treatment for congenital nasolacrimal duct obstruction, particularly under the age of 36 months.
■一项针对148名儿童(270眼)的10年回顾性研究,9至159个月(平均年龄:29.6±17.7个月),以前没有经历过鼻泪管外科手术,并且出现鼻泪管阻塞的临床症状,进行了。所有儿童均接受鼻泪管球囊导管扩张术。
■治疗成功,定义为手术后1周至6个月随访时出现的鼻泪管阻塞症状完全缓解,87%(270只眼睛中的234只)。部分成功被定义为偶尔流泪,父母可以接受,并且有3%(九只眼睛)。由于完全失败,只有10%的儿童接受了第二次手术。在按年龄分组的亚分析中,18个月以下,在18到36个月之间,36个月以上的分辨率为85%,93%,77%,部分成功率为3%,3%,4%,分别。各年龄组之间存在统计学上的显著差异(p=.007)。
■在这一庞大的鼻泪管阻塞患者队列中,球囊导管扩张术作为先天性鼻泪管阻塞的主要治疗方法是成功的,尤其是36个月以下。